HENDRICKSON, JON
NPI: 1083628481
· TRAFALGAR, IN 46181
· General Practice Dentistry
· NPI assigned 07/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
95 |
$0.00 |
| 2019 |
84 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
72 |
69 |
$668.36 |
| D1208 |
Topical application of fluoride, excluding varnish |
82 |
79 |
$649.17 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$345.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |